Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $107.15 / $114.82	Facility		$26.92	$107.15	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $26.92 / $33.11	Professional		$10.00	$26.92	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $21.88 / $21.88	Professional		$11.48	$21.88	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $107.15 / $109.65	Facility		$67.61	$107.15	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.99 / $100.00	Professional		$15.49	$23.99	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $50.12 / $89.13	Facility		$10.47	$50.12	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $48.98 / $3,715.35	Professional		$20.42	$48.98	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $27.54 / $33.88	Facility		$12.59	$27.54	$33.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $26.30	Professional		$18.20	$22.91	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.88 / $41.69	Facility		$16.98	$33.88	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $34.67	Professional		$14.79	$17.38	$34.67
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18